Evidence map›Paper›PMID 36270490›Full record

ReviewAdvanced drug delivery reviews2022

Long-acting intrauterine systems: Recent advances, current challenges, and future opportunities.

Suraj Fanse, Quanying Bao, Diane J Burgess

Abstract readReview
In one paragraph

Review in Advanced drug delivery reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Approach to sport-savvy contraceptive counselling for athletes.Canadian family physician Medecin de famille canadien · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Suraj FanseUniversity of Connecticut, School of Pharmacy, Storrs, CT 06269, USA.
Quanying BaoUniversity of Connecticut, School of Pharmacy, Storrs, CT 06269, USA.
Diane J BurgessUniversity of Connecticut, School of Pharmacy, Storrs, CT 06269, USA. Electronic address: d.burgess@uconn.edu.

Funding

Development of Real-Time and Accelerated Dissolution Methods for a Long-Acting Levonorgestrel Intrauterine SystemU01FD005443 · FDA · UNIVERSITY OF CONNECTICUT STORRS · PI BURGESS, DIANE JANE · 2015 to 2024
$1.8M
FDA HHS U01 FD005443
6 · The paper itself

Abstract

Levonorgestrel intrauterine systems (LNG-IUSs) are complex drug-device combination products designed to release a hormonal contraceptive drug for up to 7 years. These drug delivery systems offers a great promise as a modern method of long-acting reversible contraceptives (LARCs) to improve women's health. Unfortunately, there are some scientific challenges associated with the development of these products which are among the major reasons contributing to the availability of relatively few IUS products on the market. This review summarizes the formulation considerations (drug and excipient attributes), manufacturing methods, advances in characterization and in vitro drug release testing of IUSs, as well as factors influencing drug release from IUSs. A critical discussion on the major challenges to IUS product development is presented. Specifically, insights on bioequivalence evaluation, in vitro-in vivo correlation (IVIVC) establishment, and regulatory challenges are detailed. Lastly, methodological tools to overcome some of these hurdles to product development are proposed. The knowledge furnished through this review will be helpful towards obtaining better product understanding. Such understanding will facilitate the development of these complex drug products, as well as their regulatory approval process.

Indexed as

Contraceptive Agents, FemaleLevonorgestrelDrug Delivery SystemsDrug LiberationFemaleHumansIn Vitro TechniquesContraceptive Agents, FemaleLevonorgestrelDrug-device combinationsIntrauterine deviceIn vitro drug releaseLevonorgestrelLong-acting implantsLong-acting reversible contraceptivesManufacturingPolydimethylsiloxaneSilicaSilicone

Identifiers

PMID36270490
PMCPMC10302114

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.